Provider Demographics
NPI:1386969236
Name:GENETIC SCIENCE LABORATORY INC.
Entity type:Organization
Organization Name:GENETIC SCIENCE LABORATORY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DUENA
Authorized Official - Prefix:
Authorized Official - First Name:NILSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-642-0451
Mailing Address - Street 1:35 CALLE JUAN C BORBON STE 69
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5375
Mailing Address - Country:US
Mailing Address - Phone:787-708-6449
Mailing Address - Fax:787-708-6450
Practice Address - Street 1:D AND E STREET SECTOR LOS FRAILES
Practice Address - Street 2:CARIBBEAN CINEMAS SUITE 203
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-708-6449
Practice Address - Fax:787-708-6450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory